Provider Demographics
NPI:1619157948
Name:NATURAL CARE WELLNESS CENTER
Entity Type:Organization
Organization Name:NATURAL CARE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:T
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-439-9242
Mailing Address - Street 1:6 SEELY LN
Mailing Address - Street 2:
Mailing Address - City:ELIOT
Mailing Address - State:ME
Mailing Address - Zip Code:03903-2016
Mailing Address - Country:US
Mailing Address - Phone:207-439-9242
Mailing Address - Fax:
Practice Address - Street 1:6 SEELY LN
Practice Address - Street 2:
Practice Address - City:ELIOT
Practice Address - State:ME
Practice Address - Zip Code:03903-2016
Practice Address - Country:US
Practice Address - Phone:207-439-9242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1144111N00000X
MECR1785111N00000X
MECR1145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1619157948OtherGROUP NPI
ME1619157948OtherGROUP NPI
ME0004932Medicare PIN